GIBI Program Application

List PO Box/Number/Street
City, State, Zip Code

List % Ownership of the Primary POC listed above

If Incorporated, list State/Year

(Provide brief statement of the company's purpose and goals)

Please submit your signed user agreement form stating that you consent to provide the GIBI with necessary metrics when requested.

(if available)

(i.e. SBIR/STTRs, grants, investments, prizes)

(if none, put N/A)

(if none, put N/A)

Please list the type of assistance your company is looking for from the Incubator program

The GIBI monthly newsletter provides information about upcoming events, networking opportunities, business resources, and current Incubator news.

Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.